Sinclair Heidi, Pasche Sonja, Pretorius Adele, Stein Dan J
Department of Psychiatry and Mental Health, Groote Schuur Hospital (J2), University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.
National Responsible Gambling Programme, South-African Gambling Foundation, Cape Town, South Africa.
J Gambl Stud. 2015 Dec;31(4):1227-43. doi: 10.1007/s10899-014-9516-8.
Pathological gambling is a prevalent and disabling mental illness, which is frequently associated with mood, anxiety, and substance use disorders. However, there is relatively little data on comorbidity in individuals with pathological gambling from low and middle income countries such as South-Africa. The Mini-International Neuropsychiatric Interview was used to assess the frequency of DSM-IV-TR disorders among 100 male and 100 female treatment-seeking individuals with pathological gambling in South-Africa. The Sheehan Disability Scale was used to assess functional impairment. In a South-African sample of individuals with pathological gambling, the most frequent current comorbid psychiatric disorders were major depressive disorder (28%), anxiety disorders (25.5%) and substance use disorders (10.5 %). Almost half of the individuals had a lifetime diagnosis of major depressive disorder (46%). Female pathological gamblers were significantly more likely to be diagnosed with a comorbid major depressive disorder or generalised anxiety disorder than their male counterparts. Data from South-Africa are consistent with previously published data from high income countries. Psychiatric comorbidity is common among individuals with pathological gambling.
病理性赌博是一种普遍存在且使人致残的精神疾病，常与情绪、焦虑及物质使用障碍相关。然而，来自南非等低收入和中等收入国家的病理性赌博患者共病情况的数据相对较少。本研究采用迷你国际神经精神访谈量表评估了南非100名寻求治疗的男性和100名寻求治疗的女性病理性赌博患者中DSM-IV-TR障碍的发生频率。采用希恩残疾量表评估功能损害情况。在南非病理性赌博患者样本中，当前最常见的共病精神障碍是重度抑郁症（28%）、焦虑症（25.5%）和物质使用障碍（10.5%）。几乎一半的患者曾被诊断为重度抑郁症（46%）。女性病理性赌博者被诊断为共病重度抑郁症或广泛性焦虑症的可能性显著高于男性。南非的数据与先前高收入国家发表的数据一致。精神共病在病理性赌博患者中很常见。
